| Physical Therapy - Application of Mechanical Traction | $37 | 
Near Average
State Average: 3 | $37 |
| Physical Therapy - Electrical Stimulation Therapy | $60 | 
Above Average
State Average: 3 | $60 |
| Physical Therapy - Low Complexity Evaluation | $227 |
Near Average
State Average: 1 | $227 |
| Physical Therapy - Manual Electrical Stimulation Therapy, 15 minutes | $68 | 
Below Average
State Average: 3 | $68 |
| Physical Therapy - Manual Therapy | $54 |
Near Average
State Average: 4 | $54 |
| Physical Therapy - Moderate Complexity Evaluation | $227 |
Near Average
State Average: 1 | $227 |
| Physical Therapy - Neuromuscular Reeducation | $68 |
Above Average
State Average: 4 | $68 |
| Physical Therapy - Re-Evaluation | $116 |
Near Average
State Average: 1 | $116 |
| Physical Therapy - Self-care or Home Management Training | $54 |
Near Average
State Average: 1 | $54 |
| Physical Therapy - Therapeutic Activities | $67 |
Below Average
State Average: 3 | $67 |
| Physical Therapy - Therapeutic Exercises | $70 |
Near Average
State Average: 4 | $70 |
| Physical Therapy - Ultrasound Therapy | $68 |
Above Average
State Average: 3 | $68 |
